RT Journal Article SR Electronic T1 Inherited duplications of PPP2R3B promote naevi and melanoma via a novel C21orf91-driven proliferative phenotype JF bioRxiv FD Cold Spring Harbor Laboratory SP 672576 DO 10.1101/672576 A1 Satyamaanasa Polubothu A1 Lara Al-Olabi A1 Daniël A Lionarons A1 Mark Harland A1 Anna C Thomas A1 Stuart Horswell A1 Lilian Hunt A1 Nathan Wlodarchak A1 Paula Aguilera A1 Sarah Brand A1 Dale Bryant A1 Philip Beales A1 Cristina Carrera A1 Hui Chen A1 Greg Elgar A1 Catherine A Harwood A1 Michael Howell A1 Dagan Jenkins A1 Lionel Larue A1 Sam Loughlin A1 Jeff MacDonald A1 Josep Malvehy A1 Sara Martin Barberan A1 Vanessa Martins da Silva A1 Miriam Molina A1 Deborah Morrogh A1 Dale Moulding A1 Jérémie Nsengimana A1 Alan Pittman A1 Juan-Anton Puig-Butillé A1 Kiran Parmar A1 Neil J Sebire A1 Stephen Scherer A1 Paulina Stadnik A1 Philip Stanier A1 Gemma Tell A1 Regula Waelchli A1 Mehdi Zarrei A1 Davide Zecchin A1 Susana Puig A1 Véronique Bataille A1 Yongna Xing A1 Eugene Healy A1 Gudrun E Moore A1 Wei-Li Di A1 Julia Newton-Bishop A1 Julian Downward A1 Veronica A Kinsler YR 2019 UL http://biorxiv.org/content/early/2019/06/15/672576.abstract AB The majority of the heredity of melanoma remains unexplained, however inherited copy number changes have not yet been systematically studied. The genetic environment is highly relevant to treatment stratification, and new gene discovery is therefore desirable. Using an unbiased whole genome screening approach for copy number we identify here a novel melanoma predisposing factor, familial duplications of gene PPP2R3B, encoding a regulatory unit of critical phosphatase PP2A. Significant correlation between expression of PPP2R3B in tumour tissue and survival in a large melanoma cohort was confirmed, and associated with a non-immunological expression profile. Mechanistically, construction and extensive characterization of a stable, inducible cellular model for PPP2R3B overexpression revealed induction of pigment cell switching towards proliferation and away from migration. Importantly, this was independent of the known microphthalmia-associated transcription factor (MITF)-controlled pigment cell phenotype switch, and was instead driven by uncharacterised gene C21orf91. Bioinformatic studies point to C21orf91as a novel target of MITF, and therefore a potential hub in the control of phenotype switching in melanoma. This study identifies novel germline copy number variants in PPP2R3B predisposing to melanocytic neoplasia, and uncovers a new potential therapeutic target C21orf91 in the control of pigment cell proliferation.